Itc Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ITC MEDICAL SUPPLIES INC

Practice address

1635 Divisadero St Ste 105
San Francisco, CA 94115-3000

Phone

(415) 346-7100

Fax

(415) 346-7177

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faina Kautsky

Title

Vice President

Phone

(415) 346-7100

Specialties & licenses 3

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1083718670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153000",
            "telephone_number": "415-346-7100",
            "fax_number": "415-346-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153000",
            "telephone_number": "415-346-7100",
            "fax_number": "415-346-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITC MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "KAUTSKY",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-346-7100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "197039600",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01988F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manisha Israni-Jiang, M.D.
• Dessislava Issaeva, CMT
• James Issel, PH.D.
• Samer Adib Itani, DDS
• Lisa Itaya, D.D.S.
• Itc Medical Supplies Inc
• Itc Medical Supplies Inc
• Shelley Orli Itelson, BA
• Traci E Ito, M.D.
• Jessica Itokazu, PHARM D.

• Durable Medical Equipment & Medical Supplies in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.